Kelly Hennebry, LCSW, LCADC is a medicare enrolled "Social Worker - Clinical" provider in Morristown, New Jersey. Her current practice location is
310 Madison Ave Ste 220, Morristown, New Jersey. You can reach out to her office (for appointments etc.) via phone at
(973) 267-1238.
Kelly Hennebry is licensed to practice in New Jersey (license number 44SC05894700) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1992244149.
Healthcare Provider's Profile
| Full Name | Kelly Hennebry |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 310 Madison Ave Ste 220, Morristown, New Jersey |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1992244149
- Provider Enumeration Date: 02/21/2017
- Last Update Date: 09/29/2021
Medicare PECOS Information:
- PECOS PAC ID: 4486024668
- Enrollment ID: I20230104001386
Medical Identifiers
Medical identifiers for Kelly Hennebry such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1992244149 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 37LC00299600 (New Jersey) | Secondary |
| 1041C0700X | Social Worker - Clinical | 44SC05894700 (New Jersey) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kelly Hennebry allows following entities to bill medicare on her behalf.
| Entity Name | Barnabas Health Medical Group, Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1447206420
PECOS PAC ID: 0648172809
Enrollment ID: O20040127000361 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kelly Hennebry is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Kelly Hennebry, LCSW, LCADC
95 West Main Street Suite 5 #233, Suite 5 #233,
Chester, NJ 07930
Ph: (973) 796-3810 | Kelly Hennebry, LCSW, LCADC
310 Madison Ave Ste 220,
Morristown, NJ 07960-6967
Ph: (973) 267-1238 |
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